| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,128.61 | $5,128.61 | $6,760.83 | |
Cigna
| Professional | $3,388.44 | $3,388.44 | $3,388.44 | |
United
| Facility | $4,168.69 | $4,168.69 | $4,168.69 | |
United
| Professional | $4,073.80 | $15,488.17 | $15,488.17 |